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Individual

STEPHANIE SHANE CROFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
Mailing address
W3632 ARTISAN DR, GLEN FLORA, WI 54526-9728
(219) 863-5546

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0270027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F09190747
AANP CERTIFICATION
Enumeration date
09/12/2019
Last updated
09/12/2019
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